Essentials of Pediatric Nursing – (5th Edition, Exam Questions) – (Kyle
& Carman) – (Ch. 1–29) – Rationales Included
A nurse is delivering a lecture to a group of parents on child health and diseases. What is
the most common cause of death in children older than 1 year?
Obesity
Type 2 diabetes
Motor vehicle accidents
Heart disease
- ANSWER: Motor Vehicle Accidents
Rationale: Motor vehicle accidents are the most common cause of death in children over
1 year of age. Obesity is the most common nutritional problem in children and can lead to
type 2 diabetes. Incidents related to death due to heart diseases, such as coronary heart
disease, in children are not that common.
A school nurse finds that many adolescents in the school are overweight. Being
overweight predisposes these adolescents to which conditions?
Diabetes
Hypertension
Heart diseases
Fractures
Headaches
- ANSWER: Diabetes, Hypertension, Heart Disease
Rationale: Overweight individuals are at high risk of developing diabetes due to
increased insulin resistance. The risk of hypertension and heart disease is also high due to
atherosclerosis. The risk of fractures and headaches is not dependent on body weight.
What should be the primary goal of a nurse while providing atraumatic care to a child?
First, do no harm to the child.
Restrain the child.
Repress the parents.
Anesthetize the child
- ANSWER: First, do no harm to the child.
, Rationale: The most important goal for providing a traumatic care is first, do no harm to
the child. Restraining the child, repressing the parents and anesthesia are not primary
goals of a traumatic care.
What is the most common cause of death and disability in children in the United States?
Injuries
Violence
Drowning
Mental health problems
- ANSWER: Injuries.
Rationale: Injuries account for the most common cause of death and disability to children
in the United States. Violence, drowning, and mental health problems are not the most
common causes of death and disability in children in the United States.
A nurse understands that moral values are important in any decision making. What does
the moral value autonomy refer to?
The obligation to prevent or minimize harm
The patient's right to be self-governing
The concept of fairness
The obligation to promote the patient's well-being
- ANSWER: The patient's right to be self-governing.
Rationale: Autonomy refers to the patient's right to be self-governing and make decisions
about his or her own healthcare. The obligation to prevent or minimize harm is called
nonmaleficence. The concept of fairness is called justice. The obligation to promote the
patient's well-being is called beneficence.
What should be the nurse's instruction to the parent of a child who is overweight?
Inform the parent that the baby is well nourished.
Advise the parent to put the child on a temporary fast.
Tell the parent to reduce the quantity of food supplied to child.
Emphasize the importance of physical activity for the child.
- ANSWER: Emphasize the importance of physical activity for the child.
Rationale: Childhood obesity is the major risk factor for the development of type 2
diabetes. Weight-loss measures such as increased physical activity and avoiding a
& Carman) – (Ch. 1–29) – Rationales Included
A nurse is delivering a lecture to a group of parents on child health and diseases. What is
the most common cause of death in children older than 1 year?
Obesity
Type 2 diabetes
Motor vehicle accidents
Heart disease
- ANSWER: Motor Vehicle Accidents
Rationale: Motor vehicle accidents are the most common cause of death in children over
1 year of age. Obesity is the most common nutritional problem in children and can lead to
type 2 diabetes. Incidents related to death due to heart diseases, such as coronary heart
disease, in children are not that common.
A school nurse finds that many adolescents in the school are overweight. Being
overweight predisposes these adolescents to which conditions?
Diabetes
Hypertension
Heart diseases
Fractures
Headaches
- ANSWER: Diabetes, Hypertension, Heart Disease
Rationale: Overweight individuals are at high risk of developing diabetes due to
increased insulin resistance. The risk of hypertension and heart disease is also high due to
atherosclerosis. The risk of fractures and headaches is not dependent on body weight.
What should be the primary goal of a nurse while providing atraumatic care to a child?
First, do no harm to the child.
Restrain the child.
Repress the parents.
Anesthetize the child
- ANSWER: First, do no harm to the child.
, Rationale: The most important goal for providing a traumatic care is first, do no harm to
the child. Restraining the child, repressing the parents and anesthesia are not primary
goals of a traumatic care.
What is the most common cause of death and disability in children in the United States?
Injuries
Violence
Drowning
Mental health problems
- ANSWER: Injuries.
Rationale: Injuries account for the most common cause of death and disability to children
in the United States. Violence, drowning, and mental health problems are not the most
common causes of death and disability in children in the United States.
A nurse understands that moral values are important in any decision making. What does
the moral value autonomy refer to?
The obligation to prevent or minimize harm
The patient's right to be self-governing
The concept of fairness
The obligation to promote the patient's well-being
- ANSWER: The patient's right to be self-governing.
Rationale: Autonomy refers to the patient's right to be self-governing and make decisions
about his or her own healthcare. The obligation to prevent or minimize harm is called
nonmaleficence. The concept of fairness is called justice. The obligation to promote the
patient's well-being is called beneficence.
What should be the nurse's instruction to the parent of a child who is overweight?
Inform the parent that the baby is well nourished.
Advise the parent to put the child on a temporary fast.
Tell the parent to reduce the quantity of food supplied to child.
Emphasize the importance of physical activity for the child.
- ANSWER: Emphasize the importance of physical activity for the child.
Rationale: Childhood obesity is the major risk factor for the development of type 2
diabetes. Weight-loss measures such as increased physical activity and avoiding a
